Patient Financial Counselor

Responsibilities

• Assist all patients that do not have insurance or patients with a limited coverage policy in obtaining financial assistance (i.e. Project Access, drug replacement or co-pay assistance), outside assistance (i.e. transportation or other community services), and all appropriate forms.
• Cooky with the patient and provider to obtain all information and signatures for drug reimbursement requirements per manufacturer/program.
• Upload or fax all applications and the pertinent financial forms (along with the physician’s signature and the prescription) required for assistance to the manufacturer/program.
• Collaborate with the treatment authorization team to identify patients in need of assistance and notify them once approvals are in place.
• Utilizes the Summary of Patient Reimbursement and Liability form and obtains appropriate approvals as required.
• Performs financial counseling process on all patients prior to treatment, which includes patient financial obligations, billing practices and establishing payment arrangements.
• Documents financial counseling process.
• Order and track all approved drugs for patients according to their schedule.
• Aids in maintaining manuals, logs and other required documentation as required.
• Communicate with pharmaceutical companies Field Reimbursement Managers to stay up to date on program changes.
• Demonstrates an understanding for patient confidentiality to protect the patient and the clinic/corporation.
• Follows policies and procedures to contribute to the efficiency of the front office.
• Covers for and assists with other front office functions as requested.
• Attends required, applicable meetings.
• Remains current on all compliance requirements.
• Ensures all applicable policies and procedures of the company and Network are followed.
• Performs other tasks as reasonably requested by a provider or member of the Management Team, as applicable to the role.

Qualifications

• High school degree or equivalent required.
• Minimum three (3) years medical insurance verification and authorization required.